Individual provider Active NPI

Marie Jessie Polycarpe, RN

  • Community Health Registered Nurse
  • Richmond Hill, NY
National Provider Identifier
1447787650
Registry record updated May 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
399953-1 Issued in NY
Practice address
11001 84TH Ave
Richmond Hill, NY 11418-1247
Phone
(718) 559-0546
NPI assigned
May 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 399953-1 NY Primary

Addresses

Primary practice location

11001 84TH Ave
Richmond Hill, NY 11418-1247

Mailing address

558 11TH St Apt 1E
Brooklyn, NY 11215-4332
Phone (917) 273-7890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
399953-1NYMDCommunity Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495065600000",
    "number": "1447787650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 11TH ST APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154332",
            "telephone_number": "917-273-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 84TH AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181247",
            "telephone_number": "718-559-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYCARPE",
        "first_name": "MARIE",
        "middle_name": "JESSIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2017-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "399953-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.